The scope of practice for an advanced nurse practitioner would include which intervention?
Explanation & Rationale
Choice A rationale Conducting a comprehensive mental health assessment, which involves gathering a holistic history and current mental status examination, is within the scope of practice for both a registered nurse and an advanced practice registered nurse (APRN). An APRN typically conducts a more in-depth, diagnostic assessment. Choice B rationale Establishing a therapeutic relationship, built on trust, respect, and professional boundaries, is a fundamental and essential skill and intervention for all professional psychiatric nurses, including registered nurses and APRNs, forming the foundation for all subsequent care. Choice C rationale Prescribing psychotropic medication is a key component of the advanced practice role for psychiatric mental health nurse practitioners (PMH-APRNs) in most jurisdictions, contingent upon state regulations. This function requires specialized education in pharmacology and the authority to diagnose, which is beyond the scope of a general registered nurse. Choice D rationale Individualizing a nursing care plan based on patient assessment, evidence-based guidelines, and patient goals is a core professional function of a registered nurse and a critical element of providing competent and patient-centered nursing care across all levels of practice.